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X2018-3289 - Permits
oxo City of Newport Beach - Building Division _+t 100 Civic Center Drive, Newport Beach, CA 92660 e = e ¢ [ Permit Counter Phone (949)644-3288 m ¢ e r� Inspection Requests Phone (949)644-3255 smm ¢ s o'r�.rr,tiu+�*': Combination Type - SFP ELEC iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii D o e e o u uo u c 0 0 0 o aee mom COMB Permit: X2018-3289 Project No: 2150-2018 Issued Date : 10/3012018 Inspection Area : 8 PERM ITSEXW/RG: 180 aAW9AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7P.W a.m, to 6:30 p.m. and Miturciay from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 20112 ORCHID ST NS Description: SFR ATTIPATIO COVER 400 SF Legal Desc.: N TR 1500 LOT 43 Owner: DUNN FAM ILY TRUST Contractor: REEF CONSTRUCTION INC Architect: Address: 20112 ORCHID ST Address: 34681 CALLE LOMA Address: Rear: /•2S - NEWPORT BEACH, CA 92660 Front: I z.m CAPISTRANO BEACH CA Left: I i Phone: Right: I Y' , Phone: Parkino Spaces: 0 Phone: State Lic: Applicant: DUNN PAULErTE Con State Lic: 352574 Engineer: Address: 20112 ORCHID ST Lic Expire: 02/2812019 Address: $0.00 NEWPORT BEACH, CA 92660 Bus Lic: BT30057722 Phone: 949.756.0391 Lic Exp Date: 1 013112 01 9 Phone: State Lic: Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Worker's Compensation Insurance Carrier: STATEFUND Policy No: 1965114 0 Expire: 01/01/2019 0 Excise Tax: Building Setbacks Rear: /•2S - Front: I z.m Left: I i Additional Fee : Right: I Y' , Use Zone: Parkino Spaces: 0 Designer: BUDOVEC PHILLIP Address: 22246 SUMMIT HILL DR LAKEFOREST CA 92630 Phone: 949-263.0199 Special Conditions'. LCTOR Fire Hazard Zone : N Construction Valuation: $10,600.00 Building Parm,R Fee: $359.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $261.00 Additional Fee : ($261.00) Plan check Fee: $40.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Record Management : $22.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $1.38 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Bectrical %: $25.13 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $448.51 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $448.51 PROCESSED BY: I f l I I PUBLIC WORKS APPROVAL: OWNER -BUILDER DECLARATION " ' Ihereby affirr der penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s);incicat8Q bQlo%S Vthe pfleckrrprk(s) I have placed next to the applicable item(s) (Section 7031 .5, siness and Professions Code: Any city or county that requires a permit to construct, alter, improvS,Qerrpgli$h, 4 felJa4'any+strupalje, prior to its issuance, also requires the applicant for the permit to a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and )fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty �.. not more than five hundred dollars ($500). . . .. + . .. I, as ow ner of the property, or my employees w ith w ages as their sole compensation, w III do (. S all of, or (=) porEons of tRe ojk, a6d the structure is not intended or offered for sale (Section 7044, siness and Professions Code: The Contractors' State License Law does not apply to an ow ner of property w ho. through emplgy`Gey'4 personal effort, builds or improves the property, provided that ) improvements are not intended or offered for sale. If, however. the building or Improvement is sold within one year of completion, the Ow ner-Bullder w ill have the burden of proving that it was not iit or improved for the purpose of sale). ❑ I, as ow ner of the property, am exclusively contracting w ith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law as not apply to an ow ner of property w ho builds or improves thereon, and w ho contracts for the projects w ith a licensed Contractor pursuant to the Contractors' State License Law ). ❑ 1 am exempt from licensure under the Contractors' State License Law for the follow Ing reason: By my signature below I acknow ledge that, except for my personal residence in w hich I must ve resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an ow ner-builder if it has not been constructed in its tirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request w hen this application is submitted or at the low Ing Web site:http://w ww.leginfo.ca.gov/calaw.html. Signature of Property Ow ner or Authorized Agent 1 Date LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penalty ofperjury that I am licensed under provisions of Cha ter 9 (cam ncing w ith Se( the Business and Rofessio7a e a license is 'n ful ce and effect. License Class License No 3 `5 Contractor Sionature, DARNING: FAILURE TO SECURE W ORKERs' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5700,000), IN ADDITION TO THE )F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the follow Ing declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for is rmance'of the w ork for which this permit is issued. Policy No. �I h e and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensE isura ce carrier and policy number are: IS of Agent certify that, In the pe :e that, if Is hould be N lature of ApplicanA. e). Lender's Name Policy Number Date the w ork fo w hich this permit is issued. I shall not employ any person in any manner so as to become subject to the w orkers' compensation laws of California, and to the w orker ' ompens ationprovis ions action 3700 of the Labor Code, I shall forthw ith comply w ith those provisions. _ DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (� I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the w ork for w hich Lender's Address _ By my signature below , I certify to each of the follow ing: I am the property ow ner or authorized to act on the property o er's behalf. I have read this application and the information I have provid is correct. I agree to comply w ith all applicable city and county ord' ces and state laws relating to building construction. I authorize representatives of this city or county t e ve-identified ro erty for inspection purposes. signature of Property Ow ner or Authorized Age Print Property Ow ner's or Authorized Agent's ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE permit is issued (Section 3097, Civil ,?.Z t U.— 1*_3 v VA 1.1 Date 9 8 ° .���. k�x �_■« W ƒ.1 £ O2432 �)■c � k42 Co.) o < § Q 7 ƒ _ q El 0 ( \ ( a / 9 77� k©f +k8 . 0 �k \� /ƒ�a? \ 64 ]wf %e§9. � \�31 \ \ � 8 f k 2 0 2 7\` \ ) \±40. :^ ] i col 6 Q 7 ƒ _ q El 0 ( \ ( a / 9 77� k©f +k8 . 0 /ƒ�a? \ 64 ]wf %e§9. � \�31 \ \ � 8 f k 2 0 2 7\` \ ) \±40. :^ ] i col 6 / 2 0 °J0 \4kk e §22j « Q 7 ƒ _ q El 0 ( \ ( a / 9 77� k©f +k8 . 0 /ƒ�a? \ 64 ]wf %e§9. 0 8 f k 0 \±40. ] i col (6 -Cul (�\� $]0 °J0 \4kk \ §22j « ■ \\ § m N \/\�\ G ow // 7.24-:> } z g 2 ± 2 64, 0 q $ oD m m m ��I \\ § ƒ \ . \/\�\ G ow } z g 2 ± ƒ \ . 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